@layout("/common/_container.html",{js:["/assets/tool/toolExpressReconciliationYzxInstall/toolExpressReconciliationYzxInstall_add.js"]}){

<div class="layui-body-header">
    <span class="layui-body-header-title">添加</span>
</div>

<div class="layui-fluid " style="">
    <div class="layui-card">
        <div class="layui-card-body">
            <form id="toolExpressReconciliationYzxInstallForm" lay-filter="toolExpressReconciliationYzxInstallForm" class="layui-form model-form" style="max-width: 700px;margin: 40px auto;">
                <input name="id" type="hidden"/>
                <fieldset class="layui-elem-field layui-field-title" style="margin-top: 2px;">
			    	<legend>添加邮政新报价信息</legend>
			  	</fieldset>
                <div class="layui-form-item">
                    <label class="layui-form-label">客户<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <select id="customerName" name="customerName" lay-verify=""  lay-filter="customerName">
                            <option value="快递成本">快递成本</option>
                            <option value="娥英素水收入">娥英素水收入</option>
                            <option value="济南柏川收入">济南柏川收入</option>
                        </select>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">区域</label>
                    <div class="layui-input-block">
                        <input id="region" name="region" placeholder="请输入区域" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">省份<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="province" name="province" placeholder="请输入省份" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">0-700g<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="qj07g" name="qj07g" placeholder="请输价格" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">700-1.3kg<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="qj71d3kg" name="qj71d3kg" placeholder="请输价格" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">1.3-2kg</label>
                    <div class="layui-input-block">
                        <input id="qj1d32kg" name="qj1d32kg" placeholder="请输价格" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">2kg-3kg</label>
                    <div class="layui-input-block">
                        <input id="qj23kg" name="qj23kg" placeholder="请输价格" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">3kg-4kg</label>
                    <div class="layui-input-block">
                        <input id="qj34kg" name="qj34kg" placeholder="请输价格" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">4kg-5kg</label>
                    <div class="layui-input-block">
                        <input id="qj45kg" name="qj45kg" placeholder="请输价格" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <fieldset class="layui-elem-field layui-field-title" style="margin-top: 2px;">
			    	<legend>5kg以上</legend>
			  	</fieldset>
                <div class="layui-form-item">
                    <label class="layui-form-label">首重<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="firstWeight" name="firstWeight" placeholder="请输入首重" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">续重<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="cWeight" name="cWeight" placeholder="请输入续重" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">折扣</label>
                    <div class="layui-input-block">
                        <input id="discount" name="discount" placeholder="请输入折扣" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item layui-form-text">
                    <label class="layui-form-label">备注</label>
                    <div class="layui-input-block">
				        <textarea placeholder="请输入内容" class="layui-textarea" name="remarks"></textarea>
                    </div>
                </div>
                <div class="layui-form-item">
                    <div class="layui-input-block">
                        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
                        <button class="layui-btn layui-btn-primary" type="button" id="backupPage">&emsp;返回&emsp;</button>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>

@}